Currently studies have yet to clearly provide an ideal method of management. Although animal models seem to support early surgical intervention, retrospective studies in human reveal that arthrocentesis may provide better outcomes but with an increased risk of mortality.4,7,10 Proponents of surgery believe the proper visualization, debridement, and lavage can only be conducted through surgery thus protecting the articular cartilage from rapid destruction.8-10,12,13 Whereas proponents of medical management argue the needle aspiration is quick, less invasive, and can be conducted multiple times to prevent accumulation of pus and follow effectiveness of antibiotic treatment.7,11